Provider Demographics
NPI:1952471583
Name:GOLDMAN, RONALD T (RPH)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:T
Last Name:GOLDMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:RONALD
Other - Middle Name:T
Other - Last Name:GOLDMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:309 FLORENCE AVE
Mailing Address - Street 2:526 N
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-2605
Mailing Address - Country:US
Mailing Address - Phone:215-885-0161
Mailing Address - Fax:
Practice Address - Street 1:206 WELSH RD
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2208
Practice Address - Country:US
Practice Address - Phone:215-706-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP022368L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist